LAWRENCE G WAYBURN M.D. NPI 1891790192

NPI Information

  • NPI: 1891790192
  • Provider Name: LAWRENCE G WAYBURN, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2 BIG BEAR PL
    SANTA FE, NM
    ZIP 87508
  • Phone: (989) 928-2397

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NPI Details

Lawrence G Wayburn, M.D. is a diagnostic radiology radiology in Santa Fe, NM. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Lawrence G Wayburn, M.D. NPI is 1891790192. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2 BIG BEAR PL
SANTA FE, NM
ZIP 87508
Phone: (989) 928-2397
Fax: (505) 471-4388

The NPI 1891790192 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)

The enumeration date for this NPI number is 6/15/2005 and was last updated on 6/10/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyMD2007-0243NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A73377MEDICARE UPIN
21891790192OTHERNPI
34542150MEDICAIDMICHIGAN
4C66005009MEDICARE ID-TYPE UNSPECIFIED
551282551MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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